MRCPsych Part I
Extended Matching Items (EMI):
samples from first pilot examination

 


Theme: Neuropsychological tests

 

Options:

 

A Cognitive Estimates Test

B Digit span

C Go - No Go test

D Mini Mental State Examination

E National Adult Reading Test

F Raven’s progressive matrices

G Rivermead Behavioural Memory Test

H Stroop test

I Wechsler Memory Scale

J Wisconsin Card Sorting Test

 

 

Lead in:A 54 year man presents with a year’s history of steadily progressive personality change. He has become increasingly apathetic and appears depressed but his main complaint is of increasing frontal headaches. On examination he has word finding difficulties. EEG shows frontal slowing, greater on the left.

 

21) You are concerned that he may have an intracranial space occupying lesion.

 

Which test would you use to obtain a quick estimate of his current performance IQ?

22) The test indicates that his current performance IQ is in the low average range.

 

Which test would enable you to estimate his premorbid IQ, ie. his IQ before any brain damage he may have sustained in recent months / years?

 

23) The estimate of his premorbid IQ is 15 points higher than his current performance IQ. It is recommended that he has a full WAIS IQ assessment to measure both performance and verbal IQ. On the WAIS his verbal IQ is found to be impaired over and above his performance IQ.

 

Which test is part of the WAIS verbal subtests?

 

24) An MRI scan shows a large meningioma compressing dorsolateral prefrontal cortex on the left.

 

Which test result is most likely to be impaired?

 

Answers:

21 - F

22 - E

23 - B

24 - J

 


 

Theme:Aetiology

 

Options:

 

A Alcohol

B Childhood sexual abuse

C Diabetes

D Having given birth 6 months previously

E Impaired hearing

F Loss of mother before age 14

G Peri-natal hypoxia

H Reduced visual acuity

I Regular use of NSAIDs

J Smoking


Lead in:Which of the above risk factors is most strongly associated with the following:

 

33) A young man with mood-incongruent auditory hallucinations, complex delusions and social withdrawal.

 

34) A young woman with mood-congruent delusions, auditory hallucinations and depressed mood.

 

35) An older woman with first onset of both somatic and auditory hallucinations and delusions.

 

36) A cognitively intact older man with visual hallucinations.

 

Answers:

33 - G

34 - D

35 - E

36 - H

 


 

Theme:Disorders of perception

 

Options:

 

A Completion illusion

B Delusional perception

C Dysmegalopsia

D Extracampine hallucination

E Functional hallucination

F Haptic hallucination

G Hygric hallucination

H Pareidolic illusion

I Reflex hallucination

J Synaesthesia


Lead in:Which of the above descriptive psychopathological terms refers to the following symptoms?

 

37) "I hear the voice of my long dead father, as if he were talking to me now, when I hear water running from the bath tap."

 

38) "I hear the voice of my father speaking to me from the other side of the city".

 

39) A young woman describes looking up into the clouds and seeing an image of her fiancé.

 

40) A 22 year old woman with schizophrenia describes the sensation that somebody is touching her body in intimate places.

Answers:

37 - E

38 - D

39 - H

40 - F

© 2007 Royal College of Psychiatrists